Team Lead - Quality ( Medical Coding )

Asprcm Solutions; Chennai District; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Asprcm Solutions in Chennai is seeking an experienced Quality Team Lead for Medical Coding to manage and improve the quality assurance function of coding operations. You will drive audits, maintain standards, and ensure adherence to coding guidelines and regulatory requirements.

The role requires 7+ years in medical coding with strong knowledge of ICD-10-CM, CPT, HCPCS, and payer guidelines. Day shift, immediate joining, and eligibility for CPC/CCS/CCA certification preferred.

Qualifications

• Bachelor-level education in a healthcare field as stated.
• Professional medical coding certification (CPC/CCS/CCA) preferred/required per business need.
• Strong knowledge of medical terminology and healthcare documentation.

Responsibilities

• Lead day-to-day activities of the medical coding quality team and ensure audits are completed on time.
• Establish quality standards, methodologies, sampling plans, and benchmarks.
• Monitor coding accuracy and ensure compliance with ICD-10-CM, CPT, HCPCS, NCCI and client guidelines.
• Review audit findings for accuracy and proper interpretation of guidelines.
• Track quality KPIs: accuracy, errors, defect rates, productivity and turnaround times.

Skills

Medical coding

ICD-10-CM

CPT

HCPCS

NCCI

Payer guidelines

Audits & QA

Education

Bachelor's degree in Life Sciences / Nursing / HIM / Medical Coding

Job description

Job description

Openings for Team Lead - Quality Medical coding !!!

Designation: Team Lead - Quality

Experience: 7+ Years

Joining Type: Immediate

Specialities : ED, EM, Surgery, Multispeciality Denials.

Shift: Day(9:00 AM - 6:00 PM), Saturday & Sunday week-off

Certification Mandatory!!!

Job Summary

We are seeking an experienced and detail-oriented Quality Team Lead Medical Coding to lead and manage the quality assurance function for medical coding operations. The role is responsible for ensuring coding accuracy, compliance with client and regulatory requirements, and consistent adherence to established coding guidelines.

Key Responsibilities

Quality Management

• Lead the day-to-day activities of the medical coding quality team and ensure timely completion of quality audits.
• Establish and maintain quality standards, audit methodologies, sampling plans, and quality benchmarks.
• Monitor coding accuracy and ensure compliance with ICD-10-CM, CPT, HCPCS, NCCI, and applicable payer/client-specific guidelines.
• Review audit findings to ensure accuracy, consistency, and appropriate interpretation of coding guidelines.
• Track quality KPIs such as accuracy, critical errors, defect rates, productivity, and audit turnaround time.

Required Qualifications

• Bachelors degree in Life Sciences, Nursing, Health Information Management, Medical Coding, or a related healthcare field.
• Professional medical coding certification such as CPC, CCS, CCA, or equivalent is preferred/required based on business needs.
• Strong knowledge of medical terminology, anatomy, physiology, and healthcare documentation.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Good understanding of payer guidelines, NCCI edits, medical necessity, and compliance requirements.

Experience

• 7-10 years of overall medical coding experience, with relevant experience in quality/audit functions.
• Experience handling multiple specialties, complex charts, or high-volume coding environments

Location

KOSMO ONE, Ambattur , Chennai